CT-guided PCI: From diagnosis to treatment planning

IF 3.5 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of cardiology Pub Date : 2026-10-01 Epub Date: 2026-03-25 DOI:10.1016/j.jjcc.2026.03.010

Hirofumi Ohashi MD, PhD, Atomu Tajima MD, Koshiro Sakai MD, PhD, Hirohiko Ando MD, PhD, Yasushi Suzuki MD, PhD, Akihiro Suzuki MD, PhD, Ayako Kunimura MD, PhD, Kazuhiro Naito MD, PhD, Masanobu Fujimoto MD, PhD, Tomohiro Onishi MD, PhD, Wataru Suzuki MD, PhD, Masahiro Shimoda MD, PhD, Manami Ono MD, Juri Aoyama MD, Yasuhiro Nakano MD, PhD, Yu Takahashi MD, PhD, Frédéric Bouisset MD, PhD, Carlos Collet MD, PhD, Tetsuya Amano MD, PhD, FJCC

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引用次数: 0

Abstract

Computed tomography-guided percutaneous coronary intervention (CT-guided PCI) represents a new paradigm that extends coronary CT angiography (CCTA) from diagnostic imaging to procedural planning. By integrating morphological and physiological information, CCTA enables a comprehensive understanding of lesion characteristics and supports individualized revascularization strategies before PCI. Advances in myocardial mass quantification, CT-derived physiology, and three-dimensional co-registration have enhanced the procedural relevance of CCTA. Emerging technologies, such as photon-counting CT, are expected to further refine accuracy and broaden clinical applicability. These innovations are transforming CCTA from a diagnostic modality into a central platform for precision PCI planning. Currently, the clinical utility of CT-guided PCI is being actively evaluated across multiple prospective trials and registries, reflecting growing interest in its role for guiding contemporary PCI. Collectively, these developments are transforming CCTA from a diagnostic modality into a central platform for precision PCI planning. The goal of this review is to outline the concept, workflow, and clinical applications of CT-guided PCI, highlighting the transition of CCTA from diagnosis to comprehensive procedural design and decision-making.

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ct引导下PCI：从诊断到治疗方案。

计算机断层扫描引导下的经皮冠状动脉介入治疗（CT引导下的PCI）代表了一种新的模式，将冠状动脉CT血管造影（CCTA）从诊断成像扩展到手术计划。通过整合形态学和生理学信息，CCTA能够全面了解病变特征，并支持PCI术前个体化血运重建策略。心肌质量量化、ct衍生生理学和三维共配准的进步增强了CCTA的程序相关性。新兴技术，如光子计数CT，有望进一步提高准确性和扩大临床适用性。这些创新正在将CCTA从诊断模式转变为精确PCI计划的中心平台。目前，ct引导下的PCI的临床应用正在通过多个前瞻性试验和注册中心进行积极评估，反映出人们对其指导当代PCI的作用越来越感兴趣。总的来说，这些发展正在将CCTA从诊断模式转变为精确PCI计划的中心平台。本综述的目的是概述ct引导下的PCI的概念、工作流程和临床应用，强调CCTA从诊断到综合程序设计和决策的转变。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

4.90

自引率

8.00%

发文量

202

审稿时长

29 days

期刊介绍： The official journal of the Japanese College of Cardiology is an international, English language, peer-reviewed journal publishing the latest findings in cardiovascular medicine. Journal of Cardiology (JC) aims to publish the highest-quality material covering original basic and clinical research on all aspects of cardiovascular disease. Topics covered include ischemic heart disease, cardiomyopathy, valvular heart disease, vascular disease, hypertension, arrhythmia, congenital heart disease, pharmacological and non-pharmacological treatment, new diagnostic techniques, and cardiovascular imaging. JC also publishes a selection of review articles, clinical trials, short communications, and important messages and letters to the editor.